DR. JON WILLIAM TAVEAU – Neurological Surgery Physician, NPI 1083897086
Neurological Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
327 NEUROSURGERY in IL
Provider Addresses for DR. JON WILLIAM TAVEAU
305 W. Jackson St.
Suite 103
Carbondale, IL 629011472
Phone: (618) 351-4972
Fax: (618) 351-4973
Type: Location
103, Clinchfield Street, Cherokee Village, Kingsport, Sullivan County, Tennessee, 37660, United States
KINGSPORT, TN 376603859
Phone: (423) 578-1518
Fax: (423) 230-6349
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 58 Open Payments records for all available years, with a total value of $2,931.
Total Amount is formed as General ($2,931) + Research ($0) + Ownership ($0) = $2,931.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Medtronic, Inc. ($1,333).
Total Amount
$2,931
General + Research + Ownership
Payments
58
Total payment records
General Amount
$2,931
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,333 |
| Smoky Mountain Surgical Llc | $1,162 |
| Arthrex, Inc. | $366 |
| Globus Medical, Inc. | $27 |
| Nevro Corp. | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-09-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150126002313 | I | Neurosurgery | MT | TBD |
| I20180919003602 | I | Neurosurgery | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| - | TN | |
| General Surgery | MD | |
| Pulmonary Disease, Internal Medicine | TN | |
| G A S T R O E N T E R O L O G Y | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| Physician Assistant | KY | |
| Orthopedic Surgery | GA | |
| - | KY |
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